Acne Patient
In addition to history and background of the skin disease is an inspection of the skin decisive for the choice of treatment and the success of therapy.
The patient's age and time of occurrence of acne
The question of the age of the patient and the date of the occurrence of acne, the doctor will provide the beginning of the conversation history. Because it plays an important role for the classification of skin disease, how old is a patient when the acne is the first time stepping on and how the acne then developed: In most cases, a Common acne (acne adolutorum) available .
There are, however, in the neonatal acne (acne neonatorum) or prepubertal children (acne infantum) and an acne-paced continued in adulthood, usually the 25th or after the Age is (acne tarda). An acne that has developed during puberty is different to-value-ten, as an acne that persists into adulthood and then the first appearance. An acne that is after the first occurrence of rapidly worse, requires a different treatment than acne, whose development is more gradual. The dermatologist must treat acne patients many options for customization.
Family background
Next, the doctor would know for sure whether the patient's family before acne has occurred. The more frequent and severe the illness in the family has occurred, are expected to be more likely with severe cases. With such a family history of the doctor for severe acne with antibiotic tablets or more of the drug isotretinoin would prescribe as may be sufficient in the absence of family history in the same case, an effective antibiotic-free gel can.
Presence of other skin diseases
The dermatologist will certainly want to know also whether the patient is suffering from other skin diseases and whether contact or drug allergies. This information provides the physician with evidence, which medicinal products are in principle. If the patient has already responded to a particular drug, such as on an antibiotic, an allergy or intolerance, it should of course not be used for the treatment of acne.
Drug history
As a number of drugs cause acne, can the dermatologist will ask what medications the patient is taking. . For example, apply thyroid medications, certain antibiotics, high dose vitamin B supplements as "acne provocative" Have the acne problems arise soon after taking these supplements, the doctor can usually do without any anti-acne medication: the blackheads, papules and pustules form after discontinuation or changing the medication back on its own.
There is another reason the doctor about taking medication are minimized informal: The acne drugs must be tailored to the existing medication. The only way to prevent side effects or interactions. Must take the acne patient such as permanent medication because of other underlying diseases, skin doctor may tend to get acne initially through an external therapy under control. He will use tablets only if put ointment or cream does not provide sufficient therapeutic success.
Cosmetics history
Certainly ask the dermatologist, especially in female acne patients even after the use of cosmetics. Sibility for the application of grease to cosmetic prod-acne are easily provoked. The patient should use regular fat, skin care creams on your face, your doctor will consider whether the enrichment of the skin could be triggers of acne.
Lifestyle
Similarly, the patient should be questioned about his lifestyle. Even problematic life habits can have a negative effect on acne. Here should be mentioned in particular smoking, alcohol abuse and drug use. Stress also seems to promote acne.
Preference for certain forms of therapy
Finally, the doctor will want to know which preferred embodiments of the patient with drugs. The patient carries on like tinctures or ointments may he prefer? If the patient is willing to follow complicated instructions therapy, or the application may require only a minimal effort? The doctor would know this to find a treatment strategy that fits exactly to the individual patient. For only if the patient is the treatment carried out regularly, consistently and in the long term, together with the doctor, is a prerequisite for effective and sustainable treatment of acne without causing damage, for example in the form of scars, where
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